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Is the Application of Artificial Intelligence-Based Competency Assessments for Selecting Clinical Nurses Acceptable?
Hyeongsuk Lee1, Hyeongju Ryu2, Hye Jin Yoo3,4
1College of Nursing, Research Institute of AI and Nursing Science, Gachon University, Incheon, Republic of Korea.
The Journal of Nursing Research : JNR
|August 14, 2026
Summary
Nursing applicants and educators express concerns regarding AI-based competency assessments in South Korea. Findings suggest a need for improved evaluation criteria and tailored algorithms for effective nurse selection.
Area of Science:
- Nursing Education
- Healthcare Technology
- Human Resources in Healthcare
Background:
- Artificial intelligence (AI)-based competency assessments are increasingly used in South Korean nurse recruitment.
- Limited research exists on nursing applicants' and educators' experiences with these AI assessments.
- Perceptions of AI effectiveness in nurse selection remain underexplored.
Purpose of the Study:
- To explore nursing applicants' and educators' perceptions of AI-based competency assessments.
- To evaluate the effectiveness of AI tools in selecting new nurses for patient care.
- To understand stakeholder experiences with AI in nurse recruitment.
Main Methods:
- Qualitative descriptive study conducted in South Korea (February-August 2024).
- Semistructured focus group interviews with 10 nursing applicants and 10 nurse educators.
- Conventional content analysis of interview data, adhering to COREQ guidelines.
Main Results:
- Four key themes emerged: doubts about evaluation methods, AI efficiency, preparation challenges, and suggestions for improvement.
- Identified concerns regarding the criteria and methods used in AI-based competency assessments.
- Highlighted challenges faced by applicants and educators in the AI assessment process.
Conclusions:
- AI-based competency assessments show potential for fairer and more efficient nurse selection.
- Developing tailored algorithms and clear evaluation criteria is crucial for assessment validity.
- Interdisciplinary collaboration is essential for ethical and practical AI integration in nurse hiring.
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